The novel antidepressant mirtazapine has a dual mode of action.
It is a noradrenergic and specific serotonergic antidepressant (NaSSA) that acts by antagonizing the adrenergic alpha2 as well as by blocking 5-HT2 and 5-HT3 receptors.

It is used to treat depression.
Depression is a continuing disturbance of mood that interferes with everyday life.
The symptoms of depression vary from one person to another, but often include deep sadness, feelings of worthlessness, loss of interest in favorite activities, sleep disturbances, feeling of being slowed down, feelings of anxiety, and weight changes.

Take this medicine by mouth.
Swallow the drug whole with a drink of water. Do not chew it.
Take before a meal or with a meal
If you feel the effect of your medicine is too weak or too strong, do not change the dose yourself, but ask your doctor.
It may take up to 2 weeks to show the result
The amount of the drug you take will depend on your illness. Follow your doctor’s instructions carefully.
The recommended starting dose is 15 or 30 mg every day.
Doses may be changed in special conditions so always follow your doctor's or pharmacist's instructions.
If you take more than you should, talk to a doctor or go to the hospital straight away.
If you forget to take a dose, take it as soon as you remember it unless it is nearly time for your next dose.
Do not take a double dose (two doses at the same time) to make up for the forgotten dose.

Although the following side effects are not common in everyone, some patients may complain from:

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.
Your doctor will discuss the possible risks and benefits of using this medicine during pregnancy and breast-feeding

Ginkgo biloba has been studied for its effects on mental health and found to be effective. Gingko Biloba extract can be purchased in liquid or capsule form for example Ginkozac Capsules
Some conditions can be triggered by stress.
Physical therapy like yoga will be helpful
Adequate amount of sleep is very important for your mental health
Always take your medications as instructed.

seizures (epilepsy). If you develop seizures or your seizures become more frequent, stop taking Mirtazapine and contact your doctor immediately
liver disease, including jaundice. If jaundice occurs, stop taking Mirtazapine and contact your doctor immediately
If psychotic symptoms, such as paranoid thoughts become more frequent or severe, contact your doctor straight away
manic depression (alternating periods of feeling elated/overactivity and depressed mood). If you start feeling elated or over-excited, stop taking Mirtazapine and contact your doctor immediately
Tell your doctor before you take this drug if you suffer from:

kidney disease
heart disease
low blood pressure
diabetes (you may need to adjust your dose of insulin or other antidiabetic medicines)
eye disease, such as increased pressure in the eye (glaucoma);
difficulty in passing water (urinating), which might be caused by an enlarged prostate.
certain kinds of heart conditions that may change your heart rhythm, a recent heart attack, heart failure, or taking certain medicines that may affect the heart’s rhythm.
if you develop signs of infection such as inexplicable high fever, sore throat, and mouth ulcers.

Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medications including over-the-counter non-prescription medicines, prescription medicines, herbal supplements, vitamins, and supplements.

Store below 25°c
Don’t refrigerate
Keep this medicine out of the sight and reach of children.
Store in the original package to protect from moisture.
Do not use this medicine after the expiry date which is stated on the box/blisters/label. The expiry date refers to the last day of the month.

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